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Rural Health
Resources by Topic: Healthcare business and finance

February 2025 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) February 2025 meeting. Covers transitions of care for children and youth with special healthcare needs (CYSHCN), hospital non-disproportionate share hospital supplemental payments and directed payment targeting, improving access to medications for opioid use disorder, healthcare access for children in foster care, and more. Includes rural references throughout.
Additional links: Hospital Non-DSH Supplemental Payment and Directed Payment Targeting Analyses
Date: 02/2025
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Rural Health Disparities and Differences in Definitions of Rurality
Examines health disparities and differences in healthcare characteristics between rural and nonrural counties using data from the 2023 County Health Rankings and 2021-2022 Area Health Resources Files. Compares community health and healthcare characteristics by two county-level urban-rural classification systems: Rural-Urban Continuum Codes (RUCC) and Core Based Statistical Areas (CBSAs). Explores the degree to which four county-level classification systems - RUCC, CBSA, the National Center for Health Statistics (NCHS) Urban-Rural Classification Scheme for Counties, and Urban Influence Codes (UIC) - agree regarding which counties are designated as rural.
Date: 02/2025
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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146 Rural Hospitals Closed or Stopped Providing Inpatient Services from 2005 to 2023 in the United States
Line chart showing the number of rural hospital closures and rural inpatient unit closures between 2005 and 2023.
Author(s): Anil Rupasingha, Julie Cho
Date: 02/2025
Sponsoring organization: USDA Economic Research Service
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Alzheimer's Disease and Related Dementias among Medicare Beneficiaries Aged ≥ 65 Years in Rural America, by Census Region and Select Demographic Characteristics: 2020
Examines Alzheimer's disease and related dementias (ADRD) diagnosis rates among rural Medicare beneficiaries age 65 years and older, using 2020 Medicare administrative data. Breaks down data by Census region, age, sex, and race and ethnicity.
Author(s): Kevin A. Matthews, Christian T. Murray, Brenda L. Nguyen, et al.
Citation: Journal of Rural Health, 41(1), e12902
Date: 01/2025
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Not Enough: Medicaid Expansion, Medical Debt, and Cost Avoidance in Rural American Indian and Alaska Native Households
Presents a study on the effect of Medicaid expansion on the medical debt and cost avoidance for rural American Indian and Alaska Native households. Compares rates of medical debt and cost avoidance from AI/AN communities in Medicaid expansion and nonexpansion states.
Author(s): Sean Hubbard
Citation: Journal of Rural Health, 41(1), e12925
Date: 01/2025
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Health Panel Comment Letter – Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program
Offers comments in response to a December 10, 2024, proposed rule regarding policy and technical changes to the Medicare Advantage program for contract year 2026. Discusses transparency and access to pharmacy services and prescription drugs, network adequacy, notice to providers, and more.
Date: 01/2025
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Medicare Advantage Demographics Report, 2022
Summarizes demographics data on Medicare Advantage enrollment in 2022. Compares rural/urban residence of Medicare Advantage, Original Medicare, and dually eligible enrollees in Appendix B.
Date: 01/2025
Sponsoring organization: AHIP
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Ten Things to Know about Texas Rural Hospitals
Fact sheet on rural hospitals' role in supporting access to care and economic health in Texas, with additional data on rural hospital closures and support for hospital operations. Includes a map of rural Texas hospitals by county, including Critical Access Hospitals (CAHs) and Rural Emergency Hospitals (REHs).
Date: 01/2025
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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How Medicaid Helps Your State
Offers fact sheets for 50 states and D.C. on Medicaid and Children's Health Insurance Program (CHIP) participation. Includes percent of children and adults covered by Medicaid or CHIP in rural areas of each state.
Date: 01/2025
Sponsoring organization: Commonwealth Fund
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Nevada Rural and Frontier Health Data Book - Twelfth Edition
Provides an overview of the health and healthcare in rural and frontier Nevada. Offers state and county-level data on the resident population, economic and social characteristics, insurance coverage, population health, the healthcare workforce, and the healthcare delivery system.
Author(s): Tabor Griswold, John Packham, Simran Kaur, et al.
Date: 01/2025
Sponsoring organization: University of Nevada, Reno School of Medicine Office of Statewide Initiatives
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